NPIMap

Organization Active NPI

New Mexico Sonographics Inc

  • Maternal & Fetal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1730259805
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
NEW MEXICO SONOGRAPHICS INC
Practice address
4600 A Montgomery NE
Ste 105
Albuquerque, NM 87109-1292
Phone
(505) 875-1583
Fax
(505) 830-2023
NPI assigned
Nov 8, 2006
Last updated
Aug 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Jeter
Title
Practice Manager
Phone
(505) 875-1583

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X NU Primary
Radiography Radiologic Technologist 2471C3402X NU
Sonography Radiologic Technologist 2471S1302X NM

Addresses

Primary practice location

4600 A Montgomery NE
Ste 105
Albuquerque, NM 87109-1292

Mailing address

4600 A Montgomery NE
Ste 105
Albuquerque, NM 87109-1292
Phone (505) 875-1583

Other identifiers 1

IdentifierTypeStateIssuer
43927858MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181213000095 NM Part B Supplier - Clinic/Group Practice 9638213861 Receives reassigned benefits from 10 practitioners
Practice locations: Albuquerque, NM; Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

320 Osuna Rd NE
Ste G4
Albuquerque, NM 87107
Phone (505) 875-1583

4600 Montgomery Blvd NE
Ste 105A
Albuquerque, NM 87109
Phone (505) 875-1583

2700 Missouri Ave
Ste 2
Las Cruces, NM 88011
Phone (505) 875-1583

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1730259805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 A MONTGOMERY NE",
            "address_2": "STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091292",
            "telephone_number": "505-875-1583",
            "fax_number": "505-830-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 A MONTGOMERY NE",
            "address_2": "STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091292",
            "telephone_number": "505-875-1583",
            "fax_number": "505-830-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO SONOGRAPHICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "505-875-1583"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NM",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43927858",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.